Active NPI
Tamara Zorianna Vern-Gross, DO
- Radiation Oncology Physician
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 81684
- Practice address
- 2009 5TH St
Monroe, WI 53566-1546 - Phone
- (608) 324-2000
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2009-00655 | NC | |
| Pediatrics Physician | 208000000X | 2703 | TN | |
| Pediatrics Physician | 208000000X | 006864 | AZ | |
| Radiation Oncology Physician | 2085R0001X | DO-06803 | IA | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 2703 | TN | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 006864 | AZ | |
| Radiation Oncology Physician | 2085R0001X | 2703 | TN | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | 2009-00655 | NC | |
| Radiation Oncology Physician | 2085R0001X | 006864 | AZ | |
| Radiation Oncology Physician | 2085R0001X | 2009-00655 | NC | |
| Radiation Oncology Physician | 2085R0001X | 81684 | WI | Primary |
Addresses
Primary practice location
2009 5TH St
Monroe, WI 53566-1546
Mailing address
13400 E Shea Blvd
Mayo Clinic Arizona
Scottsdale, AZ 85259-5452
Other practice location 1
13400 E Shea Blvd
Mayo Clinic Arizona
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679732035 | Medicaid | WI |
Other names 1
- Tamara Zorianna Vern
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tverngross526380@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IA, WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- College of Podiatric Med and Surgery, Des Moines University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.64 of 100
- Quality
- 69.74
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 69.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2703 | TN | MD | Optometrist |
| 006864 | AZ | MD | Pediatrics Physician |
| 2009-00655 | NC | MD | Pediatrics Physician |
| DO-06803 | IA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Radiation Oncology | Current | Accepting new patients |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Family Medicine | Current | Accepting new patients |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Genesis Medical Group, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Genesis Medical Group LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients |
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038
2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000
430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
480 E Division St
Fond du Lac, WI 54935
Phone (800) 236-1428
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- tverngross526380@direct-ehr-ssmhc.com
- tverngross395829@ehrdirect.mayoclinicmsg.org
- tverngross2703846@direct.bsmhealth.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
-
dba SSM Health Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fond Du Lac, WI
- NPI 1841320884
-
dba SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
-
- Durable Medical Equipment & Medical Supplies
- Coshocton, OH
- NPI 1144022187
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
-
dba MHPY SPC - SEHC Dental Group
- Dentist
- Youngstown, OH
- NPI 1609544055
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Outpatient Pharmacy
- Community/Retail Pharmacy
- Zanesville, OH
- NPI 1477150951
Hospital
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
dba Genesis Outpatient Pharmacy 1C
- Community/Retail Pharmacy
- Coshocton, OH
- NPI 1710839436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1679732036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"address_2": "MAYO CLINIC ARIZONA",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 5TH ST",
"city": "MONROE",
"state": "WI",
"postal_code": "535661546",
"telephone_number": "608-324-2000"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_2": "Mayo Clinic Arizona",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERN-GROSS",
"first_name": "TAMARA",
"middle_name": "ZORIANNA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-00655",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "2703",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "006864",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IA",
"license": "DO-06803",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "TN",
"license": "2703",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "AZ",
"license": "006864",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "2703",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "NC",
"license": "2009-00655",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "006864",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NC",
"license": "2009-00655",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WI",
"license": "81684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679732035",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tverngross526380@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "tverngross526380@direct-ehr-ssmhc.com",
"address_1": "2009 5th St",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661546",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2009 5th St",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661546",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "VERN",
"middle_name": "ZORIANNA",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.